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ON-LINE APPLICATION FOR TNPSC REGISTRATION

17027
Registration # : 401210315

Notification. No. :

01/2014

Full Name : One Time ID :

P SENTHILKUMAR 11889772 Personal Clerk in Finance Department, Secretariat (Post Code No: 1079),Personal Clerk in (other than Law and Finance Department) Secretariat (Post Code No: 1078),Personal Clerk in Tamil Nadu Public Service Commission (Post Code No:1082),Personal Clerk in Tamil Nadu Legislative Assembly, Secretariat (Post Code No: 1085),Assistants in various departments NA NO NO --NO Indian

Name of The Post Applying for :

Are you a Destitute Widow? : Are you a Differently Abled Person? : Are you an Ex-Serviceman ? : PPO No : Date of Discharge / Probable date of Discharge : Are you a Government Employee? : Nationality / Citizenship : Application Fee / Intimation Charges details: Payment Mode: Amount : Personal Details : Date of Birth : Gender : Marital Status : Religion : Candidate's Place of Birth : Native District : Father's Name : Father's Place of Birth : Mother Tongue : Mother's Name : Communal Category : Name of the Sub Caste : Certificate No : Date Of Issue : Issuing Authority : Taluk : District : Address for Correspondence :

Net Banking 75.00

30/05/1990 MALE UnMarried Hindu SENDRAYANUR Erode A PALANISAMY Erode Tamil P SIVAKAMI Most Backward Class(MBC) Vanniyar 3738646 09/07/2005 Zonal Deputy Tahsildar Bhavani Erode 405,SENDRAYANUR VELLITIRUPPUR OLAGADAM VIA BHAVANI TK

District State : Pin :

Dindigul Tamil Nadu 638314

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Permanent Address : 405,SENDRAYANUR VELLITIRUPPUR OLAGADAM VIA BHAVANI TK District State : Pin : Contact Details : Email ID : Mobile No : EDUCATIONAL QUALIFICATION PARTICULARS : Exam Passed Date of Publication of Results S.S.L.C : H.S.C or Equivalent Qualification : Degree : Post Graduate Degree : Others : Do you claim reservation for Persons Studied in Tamil Medium (PSTM)? : Details regarding the prescribed qualification : Qualification Details : Other Equivalent Qualification Details : Certificate No : Year of Passing : Name of the Authority/ University : Do you possess Special / Preferential qualification? : Preferential qualification : Physical Standards as per notification : Any Degree -2kj10556 2011 Periyar University Yes B.Com Yes English Type Writing Short hand Name of the Examination Centre District: Name of the Examination Centre : Optional Subject : Do you claim Age Concession? : Do You Claim Fee Exemption? : Criminal Case (Registered/Pending/Punishment awarded) : Participation in Political Activities (In agitation/As a Member of Political Organisation/Candidature in Election) : Post Qualification work experience (Start from present Employer) : Name of the Organisation Previous appearance for Oral Test / Written Test Name of the Post Register No. Year Designation From(mm/yyyy) To(mm/yyyy) Nature of Duty Erode Bhavani General Studies (Degree Standard) with General Tamil (S.S.L.C Standard) No No Not Applicable Not Applicable -Cert. No. Issued by Dir. of Cert. No. Issued by Dir. Tamil Technical Education of Technical Education ---05/06/2006 09/05/2008 Tamil Tamil English English N/A H.S.C B.Com. M.B.A. -No N/A N/A Commercre with computer Finance State Board State Board Periyar University Anna University Medium of Instruction Degree Major Subject Board / University mailtopsenthil@gmail.com 9842309258 Dindigul Tamil Nadu 638314

17/08/2011 19/08/2013

Type writing / Short hand Qualification

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DECLARATION:

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1. I hereby declare that all the particulars furnished in this application are true, correct and complete to the best of my knowledge and belief. In the event of any information being found false or incorrect or ineligibility being detected before or after the examination, action can be taken against me by the TNPSC. 2. I hereby declare that I will not be a party to any kind of canvassing on my behalf.

3. I further declare that I fulfil all the eligibility conditions prescribed for admission to the examination.

4. I have informed my employer in writing that I am applying for this Examination.

5. I have gone through the Instructions etc. to candidates and the Commissions notification for this Recruitment before filling up the application form.

6. I declare that I possess the medical standards prescribed for the post(s) which I am now applying.

7. I Certify that I have not been debarred / disqualified by the TNPSC or any other recruiting agency.

8. I am not a dismissed Government Employee.

I accept the above declaration

Place:

Date: 2014-02-21 12:32:10

Signature of Applicant

Please retain your Registration No. and Password emailed to you carefully for further reference